Business Name
Physician First Name
Tana
Physician Middle Initial
Lynn
Physician Last Name
Frumento
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
4840 E Indian School Road
85018
85018
Suite
Suite 102
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)299-9540
Business Website Address
Business Fax
(623)299-9530
ASPA Effective Date
6/1/2009
Business Name
Physician First Name
Andrew
Physician Middle Initial
J.
Physician Last Name
Racette
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
4840 E Indian School Road
85018
85018
Suite
Suite 102
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)299-9540
Business Website Address
Business Fax
(623)299-9530
ASPA Effective Date
4/3/2013
Business Name
Physician First Name
Erik
Physician Middle Initial
Jason
Physician Last Name
Martinez
Practice Name
Specialty
Nurse Practitioner
Office Designation
Primary
Address
4840 E Indian School Road
85018
85018
Suite
Suite 102
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)299-9540
Business Website Address
Business Fax
(623)299-9530
ASPA Effective Date
1/7/2019
Business Name
Physician First Name
Reem
Physician Middle Initial
Mariam
Physician Last Name
Haddad
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
4840 E Indian School Road
85018
85018
Suite
Suite 102
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)299-9540
Business Website Address
Business Fax
(623)299-9530
ASPA Effective Date
9/8/2020